MICHELE LYNN CLARK (NPI# 1134339740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134339740 |
| Entity Type | Individual |
| Full Name | MICHELE LYNN CLARK |
| Practice Address |
2040 Sutter Pl Davis CA 95616-6201 |
| Mailing Address |
Po Box 1260 Davis CA 95617-1260 |
| Practice Telephone | 5307582060 |
| Mailing Telephone | 5307533498 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163860 | Michele Quinlan Clark | Counselor | 167 Washington St Ste 42, Norwell, MA 02061-1797 | 2007-02-20 |
| 1255932299 | Michele May Clark | Counselor | 10800 Financial Centre Pkwy Ste 290, Little Rock, AR 72211-3581 | 2020-11-05 |
| 1215303995 | Michele C Clark | Counselor | 18612 Santa Ana Ave, Bloomington, CA 92316-2636 | 2015-08-17 |
| 1679955785 | Michele Clark | Physical Therapist | 790 N Highway 67 St, Florissant, MO 63031-5108 | 2015-06-25 |
| 1346596921 | Michele Poole Clark | Advanced Practice Midwife | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2012-08-01 |
| 1326326729 | Michele J Clark | Counselor | 289 Independence Blvd, Ste 245, Virginia Beach, VA 23462-5493 | 2011-08-02 |
| 1255591483 | Michele Clark | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2008-06-11 |
| 1568587871 | Michele Lee Clark | Home Health Aide | 200 Sycamore St, Chillicothe, OH 45601-2653 | 2007-03-20 |
| 1922134147 | Michele Clark | Speech-Language Pathologist | 245 Lawn Market, Sharpsburg, GA 30277-1511 | 2007-02-23 |
| 1013066711 | Michele Clark | Counselor | 25 Court St, Montpelier, VT 05602-2812 | 2007-01-10 |
| Street Address |
2040 SUTTER PL |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124107602 | John Douthitt | Physician Assistant | 2040 Sutter Pl, Davis, CA 95616-6201 | 2006-11-03 |
| 1497960223 | Daniel Joseph Albano | Licensed Vocational Nurse | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-05-14 |
| 1447478268 | Communicare Health Centers | Clinic/Center | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-24 |
| 1629296447 | Communicare Health Centers | Clinic/Center | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-24 |
| 1538387352 | Communicare Health Centers | Clinic/Center | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-24 |
| 1265659981 | Barbara Jean Boehler | Advanced Practice Midwife | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-20 |
| 1316164577 | Samara Kemp | Advanced Practice Midwife | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-19 |
| 1740407881 | Margaret A Seifert | Advanced Practice Midwife | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-19 |
| 1952528093 | Mariana Mccamy | Nurse Practitioner | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-04-19 |
| 1447382502 | Jose Alberto Arevalo | Family Medicine | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073864708 | John Joonsoo Lee | Case Manager/Care Coordinator | 1617 Valdora St, #13, Davis, CA 95618-6395 | 2012-09-20 |
| 1497029532 | Robert Alexander | Case Manager/Care Coordinator | 608 S 3rd St, Davis, OK 73030-3115 | 2012-03-07 |
| 1336461821 | Jennifer Deborah Dodd | Case Manager/Care Coordinator | 414 I St, Davis, CA 95616-4217 | 2010-02-24 |
| 1326697632 | Kathryn Anne Meldrum | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-09-09 |
| 1831748144 | Emily Wan | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-09-09 |
| 1073076790 | Kali Lynn Howe | Case Manager/Care Coordinator | 115 E Main St, Davis, OK 73030-1901 | 2019-04-09 |
| 1609334903 | Maria Rose Thommes | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-03-05 |
| 1780142273 | Elyssa Victoria Calderon | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-03-04 |
| 1639689391 | Erin Elizabeth Lutjens | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2017-10-09 |
| 1952822405 | Kevin Vang | Case Manager/Care Coordinator | 212 I Street, Davis, CA 95616 | 2017-07-05 |
| Find all providers in DAVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.